Knowledge, attitudes, and practices of Florida physicians regarding dengue before and after an educational intervention

被引：7

作者：

Doblecki-Lewis, Susanne ^{[1
]}

Chang, Aileen ^{[2
]}

Jiddou-Yaldoo, Renee ^{[3
]}

Tomashek, Kay M. ^{[4
]}

Stanek, Danielle ^{[5
]}

Anil, Leena ^{[6
]}

Lichtenberger, Paola ^{[7
]}

机构：

[1] Univ Miami, Miller Sch Med, Dept Med, Div Infect Dis, 1120 NW 14th St,850 R-21, Miami, FL 33155 USA

[2] George Washington Univ, Sch Med & Hlth Sci, Div Gen Internal Med, 2150 Penn Ave NW Room 5-419, Washington, DC 20037 USA

[3] Oakland Univ, William Beaumont Sch Med, Beaumont Hlth Grosse Pointe, Div Infect Dis,Dept Med, 468 Cadieux Rd, Grosse Pointe, MI 48230 USA

[4] US Ctr Dis Control & Prevent, Dengue Branch, Div Vector Borne Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd, Atlanta, GA 30333 USA

[5] Florida Dept Hlth, Div Dis Control & Hlth Protect, Zoonot & Vectorborne Dis, 4052 Bald Cypress Way,Bin A12, Tallahassee, FL 32399 USA

[6] West Virginia Dept Hlth & Human Resources, Bur Publ Hlth, Div Infect Dis Epidemiol, 350 Capitol St Rm 125, Charleston, WV 25301 USA

[7] Univ Miami, Miller Sch Med, Dept Med, Div Infect Dis, 1120 NW 14th St,864 R-21, Miami, FL 33155 USA

来源：

BMC MEDICAL EDUCATION | 2016年 / 16卷

关键词：

Dengue; Clinical practice; Physician training; Evaluation; Survey; GLOBAL HEALTH; CASE-MANAGEMENT; PROGRAM; DISEASE;

D O I：

10.1186/s12909-016-0647-8

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Background: Failure to recognize and appropriately manage dengue early in the clinical course may result in late initiation of supportive treatment for severe disease. In Florida, travel-related and autochthonous dengue occur and are likely under-recognized. The objective of this study was to evaluate physician knowledge of dengue and its management before and after an educational intervention in Florida. Methods: From 2012-13 we conducted 14 grand-rounds style lectures on dengue clinical management attended by 413 physicians, and analyzed data from the pre- and post-tests. Results: Of those attending, 231 and 220 completed the pre- and post-tests, respectively. Overall, the mean pre-test score for knowledge-based questions was 74.3 and average post-test score was 94.2 %, indicating a mean increase of 19.9 % ( P < 0.0001, 95 % CI 17.7-22.4). Reported confidence in dengue recognition and management also increased. Non-US trained physicians and those who had treated more than ten dengue cases performed significantly better in the pre-test. Post-test scores did not differ by subgroup. Conclusions: The train-the-trainer approach with grand-rounds style presentations appear to be an effective intervention to improve knowledge of dengue among physicians.

引用

页数：6

共 22 条

[1] Lessons Learned during Dengue Outbreaks in the United States, 2001-2011 [J].